Individual
AMMATA VONGSOUVANH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D
Contact information
Practice address
15995 SW WALKER RD, BEAVERTON, OR 97006-4910
(503) 690-5833
(503) 690-5827
Mailing address
15995 SW WALKER RD, BEAVERTON, OR 97006-4910
(503) 690-5833
(503) 690-5827
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0011789
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
RPH-0011789
OR
Other
Enumeration date
12/31/2012
Last updated
04/26/2017
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